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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">I have carefully read the work by Garc&#237;a-Fuente et al&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> that was recently published in your journal&#46; Disease-related malnutrition &#40;DRM&#41; and sarcopenia are highly prevalent diseases that receive little attention in internal medicine&#46; For this reason&#44; research works in this field should be welcomed&#46; The emergence of the GLIM criteria<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> criteria has facilitated and standardized the diagnosis of DRM&#46; However&#44; there is a great deal of variability in nutritional screening tools&#44; which is why I find the comparison in this work particularly interesting&#46; Nonetheless&#44; I would like to highlight some methodological issues that could modify the interpretation of the results&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">In this work&#44; the GLIM criteria<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> are used as a reference that the screening tools studied are compared with&#46; However&#44; these criteria should not be used directly on a population&#44; because as originally described&#44;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> the diagnosis of DRM using the GLIM criteria must be done in two steps&#58; a screening tool must be used and then the GLIM criteria must be used only in patients with a positive screening test&#46; Thus&#44; it would have been more appropriate to use these criteria only in patients with &#40;at least&#41; one positive screening test&#44; not in the entire sample&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">In addition&#44; it is striking that arm circumference &#40;AC&#41; was chosen as the only tool for the diagnosis of sarcopenia&#44; especially when the study also collected data on hand grip strength &#40;HGS&#41; and calf circumference &#40;CC&#41;&#44; the anthropometric measurement recommended by the EWGSOP2 European consensus on sarcopenia<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> and the Spanish Society of Internal Medicine&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> Had patients with reduced CC&#44; diminished HGS&#44; or even those who met an anthropometric criterion &#40;reduced AC or CC&#41; together with low HGS been considered sarcopenic&#44; the prevalence of sarcopenia &#40;and thus DRM&#41; in the population studied could have varied significantly&#46;</p></span>"
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Correspondence
Letter to the editor about the article “How to detect non-institutionalized older patients at risk of malnutrition during their hospitalization? Comparison of 8 screening tools for malnutrition or nutritional risk”
Carta al editor sobre el artículo «¿Cómo detectar a los pacientes mayores no institucionalizados en riesgo de malnutrición durante su hospitalización? Comparación de 8 herramientas de cribado de malnutrición o de riesgo nutricional»
F.J. Teigell Muñoz
Corresponding author
javier.teigell@gmail.com

Corresponding author.
Medicina Interna, Hospital Universitario Infanta Cristina, Parla, Madrid, Spain

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